New, Old stock, Fire Red Paper Mate PHD Ultra Ball pen. New ink cartridge and completely gone through to make sure everything is in good working order. Easy Grip, flawless writing, and extremely durable. The Ultra is Paper Mate's version of the most advanced PhD pens on the market. LIghter, Sturdy, and flawless writing. Very good for arthritis, small or big hands, Very hard to find. Well balanced and enhanced with newer technology. Voted by Physical Therapy Association as an implement that is ergonomic for the hand and a recommended buy.